LEADERSHIP ENDOWMENT AND DEVELOPMENT FUND

(LEAD FUND)

DINGGOY ROXAS SCHOLARSHIP

REPORTING TEMPLATE

0
 2x2 Colored Photo

Form 1

DINGGOY ROXAS SCHOLAR’S PROFILE FORM

Name (First, Middle, Last)

Present Address

Postal Address (If different from current address)

Contact Number/s: (area code - landline, mobile) E-mail

Date of Birth (yyyy/mm/dd) Present Age

Name of High School Address Year Graduated

Name of School, College or University Address Year Enrolled

Course
Name of Parents/Guardian Contact Number/s Address

1
Form 2
COMMUNITY SERVICE REPORT
NAME OF SCHOLAR: Kamille Shane Calvez SCHOOL YEAR: 208-2019
SCHOOL: CAPSU Main COURSE: BSCE

HOURS OF
ACTIVITIES ORGANIZATION INCLUSIVE DATES
SERVICE
1. GRF Anniversary Scholars & 22 Gerry Roxas Foundation 10/15-16/17
Segment Shoot
2. Usherette in Jovita Fuentes Vocal 6 Gerry Roxas Foundation 2/16/18
Competition
3. Brigada Eskwela 32 Gerry Roxas Foundation 4/28-30/18
4. Arbor Day Tree Planting 6 Gerry Roxas Foundation 06/25/18
5. VIVA EXCON Capiz 2018 35 UCFI 10/30/18 & 11/8-10/18
TOTAL HOURS 100
CHALLENGES AND LESSONS LEARNED:

From the following activities that I've rendered service on, I learned an important lesson in life, and it is the essence of
voluntary service, which is a tool in nation building. When you are serving others without expecting anything in
return, you are doing it wholeheartedly. We make these efforts for things we are passionate about. By taking part in
these activities, my will to help has increased. It has fueled my determination to continue to do my best to engage in
something that would not only benefit myself, but also my fellow Filipinos, especially those in need. There were
activities, also, that boosted my environmental consciousness as well as my appreciation for the rich culture and art
of Capiz. Along with these are learning that I would not only bear in mind, but also imprint in heart as I pave the many
roads of life.

Prepared by: _Kamille Shane Calvez ______________________ Date: 11/12/18

SCHOLAR
Noted by: _April Grace Responde______________________ Date: 11/12/18_
SCHOLARSHIP PROGRAM COORDINATOR
Form 2a

COMMUNITY SERVICE CREDIT FORM

(Used only for Community Service in GRF-GRTCC Office)

NAME OF SCHOLAR: KAMILLE SHANE CALVEZ SCHOOL YEAR: 2018-2019
SCHOOL: CAPSU MAIN CAMPUS COURSE: BSCE-IV

APPROVED
ITEM TOTAL NO. OF
DATE ACTIVITY/TASK ASSIGNED REMARKS (PROGRAM
NO. HOURS
STAFF)
10/15/17 GRTCC Anniversary Shoot 7 HRS
10/16/17 GRF Anniversary Segment Shoot 15 HOURS
02/16/18 Usherette Jovita Fuentes Vocal 6 HRS
Competition
04/28-30/18 Brigada Eskwela 32 HRS
10/30/18 VIVA EXCON Orientation 5 HRS

11/8-10/18 VIVA EXCON 30 HRS

06/25/18 Arbor Day Tree Planting 5 HRS

TOTAL 100 HRS

Prepared by: _KAMILLE SHANE CALVEZ _ Date: __11/12/18_____

SCHOLAR
Noted by: _APRIL GRACE RESPONDE_________ Date: __11/12/18___ _
SCHOLARSHIP PROGRAM COORDINATOR
Form 3
QUARTERLY ACCOMPLISHMENT REPORT
NAME OF SCHOLAR: KAMILLE SHANE CALVEZ
DATE OF SUBMISSION: 11/12/18
ACCOMPLISHMENT/S
WE SUCCESSFULLY CONDUCTED OUR FIELD SURVEY AT
TALON, IVISAN, CAPIZ. IT WAS A SHORT FIELD TRIP FOR
THREE DAYS. WE HAVE PROPOSED AN 800 M ROADWAY
AS THE MAIN PURPOSE OF THE SAID SURVEY. IT WAS
MEMORABLE, AND WE'VE ACQUIRED LEARNINGS AND
SKILLS THAT WE COULD LATER ON USE IN THE FUTURE
TASKS WITH REGARDS TO OUR CHOSEN PROFESSION.
ACTIVITIES PARTICIPATED IN SCHOOL
THERE WERE MANY SCHOOL RELATED ACTIVITIES
DURING JUNE BECAUSE IT WAS OPENING OF CLASSES.
SUCH WAS THE BRIGADA ESKWELA CAMPAIGN OF CAPIZ
STATE UNIVERSITY MAIN CAMPUS. DURING THIS
ACTIVITY, OUR SECTION ACTIVELY PARTICIPATED IN
CLEAN UP DRIVES LIKE CLEANING ROOMS, SWEEPING
FLOORS AND CORRIDORS. GENERALLY THE PURPOSE OF
THIS ACTIVITY WAS TO MAINTAIN THE CLEANLINESS OF
THE SCHOOL.
Prepared by: _KAMILLE SHANE CALVEZ______________
SCHOLAR
Noted by: _____APRIL GRACE RESPONDE_________
SCHOLARSHIP PROGRAM COORDINATOR
SEMESTER: SUMMER
CHALLENGE/S AND ACTION TAKEN
IT WAS DIFFICULT TO TREK THE IVISAN HILLS BACK AND
FORTH FROM MORNING TO AFTERNOON IN BROAD
DAYLIGHT FOR THREE DAYS. IT WAS TIRESOME BUT WE
NEEDED TO STRIVE HARD FOR THIS WAS A
REQUIREMENT TO PASS THE SURVEYING 2 SUBJECT SO
PERSONALLY, I HAD TO ENDURE THE CHALLENGE.
THE PROCESS OF SOLVING THE DATA GATHERED
DURING FIELD SURVEY WAS EXTREMELY DIFFICULT,
INVOLVEMENT WITH GRF ACTIVITIES
IN JUNE, BRIGADA ESKWELA CAMPAIGN WAS ALSO
HELD BY GERRY ROXAS FOUNDATION. IN CONNECTION
TO THIS, GRF SCHOLARS ACTIVELY PARTICIPATED IN THE
SAID EVENT FOR THREE DAYS. IT WAS A FUN AND
FULLFILLING EXPERIENCE KNOWING THAT I TOOK PART
IN REPAINTING CLASSROOM WALLS, WAXING FLOORS
AND DONATING CLEANING SUPPLIES TO DIFERENT
SCHOOLS.
Date: _11/12/18_______
Date: _11/12/18_______
Form 3

QUARTERLY ACCOMPLISHMENT REPORT

NAME OF SCHOLAR: KAMILLE SHANE CALVEZ
DATE OF SUBMISSION: 02/06/19 SEMESTER: 2ND
ACCOMPLISHMENT/S CHALLENGE/S AND ACTION TAKEN

I STUDIED HARD TO MAINTAIN MY GRADES IN THE
FIRST SEMESTER AND IT WAS SUCCESSFUL, I HAD NO
FAILING REMARKS.
I WAS ABLE TO COMPLETE THE GRADES REQUIRED FOR
SUBMISSION IN OUR SCHOLARSHIP.
THIS SEMESTER WAS PARTICULARLY CHALLENGING
BECAUSE I LACKED TIME MANAGEMENT DUE TO
VARIOUS ACTIVITES AND EVENTS HELD IN CAPSU THAT I
TOOK PART IN. IT WAS HARD TO BALANCE BOTH
ACADEMICS AND EXTRA CURRICULAR ACTIVITIES.
I STUDIED DILIGENTLY IN ORDER TO MAINTAIN THE
REQUIRED GRADES OF THE SCHOLARSHIP PROGRAM

ACTIVITIES PARTICIPATED IN SCHOOL INVOLVEMENT WITH GRF ACTIVITIES

I PARTICIPATED IN VARIOUS ACTIVITIES AT SCHOOL LIKE
GENERAL CLEANING OF THE WHOLE ENGINEERING
DEPARTMENT AND SEMINARS
I PARTICIPATED IN THE DARS SCHOLARS GIFT GIVING
FOR PWD CHILDREN AT DSWD. ALSO, I ENJOYED
HAVING FUN WITH THE GIFT GIVING FOR THE LOLAS AT
THE HOME FOR THE AGED LOCATED AT BRGY. BANICA
ROXAS CITY. ALL IN ALL, BOTH OF THIS WERE FUN AND,
HUMBLING HEART WARMING EXPERIENCES I WILL
TREASURE.

Prepared by: _KAMILLE SHANE CALVEZ_______________ Date: _02/06/19 _______

SCHOLAR
Noted by: __APRIL GRACE RESPONDE__________ Date: __02/06/19__________
SCHOLARSHIP PROGRAM COORDINATOR